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New Mexico rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.61 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.40 / $732.61 / $2,235.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.19 / $954.43 / $1,281.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,111.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.22 / $827.81 / $1,091.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.76 / $993.91 / $1,733.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.24 / $984.41 / $1,533.59